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Discrimination or Harassment Report


Prior to submission of this form, if you have questions regarding the college's response to allegations of discrimination or harassment, or to discuss options available to you, please contact the Director of Equal Opportunity at 407-582-8344 or via email: equalopportunity@valenciacollege.edu .

Background Information

 
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(Student, Faculty, Staff, Visitor, Other)
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(Faculty/Staff/Students please use your Valencia Atlas email address)
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(room, building, parking lot, etc.)

Involved Parties

Please include information about the following parties if known:

  • Complainant - An individual who is alleged to be the victim of prohibited conduct.
  • Respondent - An individual who is alleged to have engaged in prohibited conduct.
  • Reporting party - A third party who makes the College aware of prohibited conduct.
  • Witness - An individual who is alleged to have witnessed prohibited conduct.
Involved party 1

Alleged Behavior

Alleged behavior (select all that may apply)(Required)
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Alleged protected status (select all that may apply)(Required)
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By checking this box, I am requesting that Valencia College take appropriate action to respond to this allegation. I acknowledge that I and/or the Complainant will be contacted by a representative of the College who will provide the Complainant with additional detail regarding supportive measures as appropriate as well as detail regarding the College’s process as outlined in 6Hx28:2-01-Discrimination, Harassment and Related Misconduct. I also acknowledge that the College’s ability to effectively respond to the allegations may be impacted by the Complainant’s willingness or ability to provide information and to participate in any process as defined in College Policy 6Hx28:2-01.(Required)
You must make at least one selection.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission